{
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"FirstLineMailingAddress": "2502 CANTERBURY DR N",
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"MailingAddressStateName": "FL",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "2502 CANTERBURY DR N",
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"EnumerationDate": "07/27/2011",
"LastUpdateDate": "07/27/2011",
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"NPIReactivationDate": null,
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"AuthorizedOfficialLastName": "REED",
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"Taxonomies": {
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"TaxonomyName": "Speech-Language Pathologist",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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}
}
}
}